摘要
目的 分析无创正压通气对急性呼吸衰竭患者血气分析及临床疗效的影响。方法 随机选取2019年6月—2020年6月期间陆军第七十三集团军医院收治的100例急性呼吸衰竭患者,采用随机数表法分组研究,对照组50例采取鼻导管低流量吸氧治疗;研究组50例采取双水平气道正压通气治疗,比较两组治疗前后的心率、呼吸、PaCO_(2)、PaO_(2)、SpO_(2)、SaO_(2)、疗效。结果 治疗前,组间心率、呼吸频率、PaCO_(2)、PaO_(2)、SpO_(2)、SaO_(2)差异无统计学意义(P>0.05),治疗后研究组各项指标较对照组优,差异有统计学意义(P<0.05)。研究组治疗总有效率为96.00%,高于对照组的80.00%,差异有统计学意义(χ^(2)=6.061,P<0.05)。结论 正压通气治疗急性呼吸衰竭能有效改善患者的血气指标,提高临床有效率,值得推广。
Objective To analyze the effect of non-invasive positive pressure ventilation on blood gas analysis and clinical efficacy in patients with acute respiratory failure.Methods From June 2019 to June 2020,100 patients with acute respiratory failure included in the 73rd Army Group Military Hospital of the Army were randomly selected and grouped by random number table method,and 50 patients in the control group were treated with nasal cannula lowflow oxygen inhalation;the study group 50 cases were treated with bilevel positive airway pressure ventilation,and the heart rate,respiration rate,PaCO_(2),PaO_(2),SpO_(2),SaO_(2),efficacy were compared between the two groups before and after treatment.Results Before treatment,there was no statistically significant difference in heart rate,respiration rate,PaCO_(2),PaO_(2),SpO_(2),SaO_(2)between groups(P>0.05).After treatment,the indexes in the study group were better than those in the control group,and the difference was statistically significant(P<0.05).The total effective rate of the study group was 96.00% higher than that of the control group 80.00%,and the difference was statistically significant(χ~2=6.061,P<0.05).Conclusion Positive pressure ventilation in the treatment of acute respiratory failure can effectively improve the blood gas indexes of patients and improve the clinical efficiency,which is worthy of promotion.
作者
王春梅
WANG Chunmei(Emergency Department,73rd Army Group Military Hospital,Xiamen,Fujian Province,361001 China)
出处
《中外医疗》
2022年第15期41-44,共4页
China & Foreign Medical Treatment
关键词
无创正压通气
急性呼吸衰竭
血氧指标
治疗效果
Non-invasive positive pressure ventilation
Acute respiratory failure
Blood oxygen index
Therapeutic effect
